| Self Care Club Pllc | |
|
6500 Greenville Ave Ste 430 Dallas TX 75206-1014 | |
| (214) 664-9042 | |
| Not Available |
| Full Name | Self Care Club Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6500 Greenville Ave Ste 430, Dallas, Texas |
| Authorized Official Name and Position | Shannon Carroll (OWNER) |
| Authorized Official Contact | 2146649042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Care Club Pllc 2488 Fort Worth Ave Apt 11213 Dallas TX 75211-1852 Ph: (682) 999-0997 | Self Care Club Pllc 6500 Greenville Ave Ste 430 Dallas TX 75206-1014 Ph: (214) 664-9042 |
| NPI Number | 1629877667 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629877667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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